COURT VERIFICATION LONG FORM

COURT VERIFICATION LONG FORM
FOR COURT-APPOINTED PARENT’S ATTORNEY IN FC-S CASES
INSTRUCTIONS
1. The attorney shall complete the following information below before submission to the Court
Clerk at the hearing/trial:
< Case Name
< Date of Hearing
< Case No.
< Name of Judge
< Name of Attorney
< Type of Hearing
2. The Court Clerk shall verify the start and end times when on the record during the hearing/trial,
sign this form and return the form to the attorney. Please use one form per case per day.
3. The attorney shall attach this Court Verification Long Form to his/her Invoice for Attorney’s
Fees and Costs.
CASE NO.: FC-S No.
CASE NAME:
NAME OF ATTORNEY:
DATE OF HEARING:
TYPE OF HEARING:
START TIME
END TIME
SUB-TOTAL
START TIME
TOTAL HOURS/MINUTES =
END TIME
SUB-TOTAL
TOTAL HOURS/MINUTES =
CLERK’S SIGNATURE:
PRINT CLERK’S NAME:
NAME OF JUDGE:
In accordance with the Americans with Disabilities Act, as amended, and other applicable state and federal laws,
if you require accommodation for a disability, please contact the ADA Coordinator at the First Circuit Family Court
office by telephone at 954-8200, fax 954-8308, or via email at [email protected] at least ten (10)
days prior to your hearing or appointment date.
FC Adm 9/21/15
RESET FORM
Court Verification Long Form
for Court Appointed Parent’s Attorney in FC-S Cases